Pauline Patricia Coore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

235557-1 Issued in NY

Practice address

38 Higgins Ave
Bridgeport, CT 06606-3716

Phone

(203) 690-2371

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1255689972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HIGGINS AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-690-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HIGGINS AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063716",
            "telephone_number": "203-690-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COORE",
        "first_name": "PAULINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "235557-1",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "032832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01863083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryellen Conway, R.D.
• Gary D Cook, PA-C
• Stacey Cooley Bardin, RN
• Trisha J Coombs, LPC
• David James Cooper, PA-C
• Lisa D Coplit, MD
• Amanda R Coppola, APRN
• John Coppola
• Sarah Coppola, DPT
• Tammy Coppola

• Licensed Practical Nurse in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Licensed Practical Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.